Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $68.67 / $119.49 / $239.66	Facility	26	$68.67	$119.49	$239.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $373.65 / $445.36 / $699.27	Professional		$373.65	$445.36	$699.27
Capital Blue Cross Facility/Professional Professional Modifier Low / Median / High Price $521.99 / $541.67 / $825.02	Professional		$521.99	$541.67	$825.02
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $80.78 / $80.78 / $80.78	Facility	26	$80.78	$80.78	$80.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.37 / $488.60 / $862.01	Professional		$216.37	$488.60	$862.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.17 / $678.19 / $853.40	Professional		$391.17	$678.19	$853.40
Martin's Point Facility/Professional Facility Modifier 26 Low / Median / High Price $68.67 / $131.83 / $271.25	Facility	26	$68.67	$131.83	$271.25
Martin's Point Facility/Professional Professional Modifier Low / Median / High Price $373.65 / $474.01 / $1,004.81	Professional		$373.65	$474.01	$1,004.81
Oscar Health Facility/Professional Professional Modifier Low / Median / High Price $106.35 / $736.92 / $1,013.58	Professional		$106.35	$736.92	$1,013.58
Priority Health Facility/Professional Facility Modifier 26 Low / Median / High Price $80.78 / $80.78 / $80.78	Facility	26	$80.78	$80.78	$80.78
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $225.77 / $498.76 / $893.54	Professional		$225.77	$498.76	$893.54
UPMC Health Plan Facility/Professional Facility Modifier 26 Low / Median / High Price $69.63 / $69.63 / $78.89	Facility	26	$69.63	$69.63	$78.89
UPMC Health Plan Facility/Professional Professional Modifier Low / Median / High Price $182.74 / $503.67 / $550.54	Professional		$182.74	$503.67	$550.54
United Facility/Professional Professional Modifier Low / Median / High Price $324.27 / $515.69 / $855.08	Professional		$324.27	$515.69	$855.08